International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Western Europe
International audience Populations in the high-income countries of Western Europe are aging due to increased life expectancy. As the prevalence of diabetes and obesity has increased, so has the burden of kidney failure. To determine the global capacity for kidney replacement therapy and conservative...
Published in: | Kidney International Supplements |
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Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
Other Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
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HAL CCSD
2021
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Online Access: | https://u-picardie.hal.science/hal-03572958 https://u-picardie.hal.science/hal-03572958/document https://u-picardie.hal.science/hal-03572958/file/S2157171621000150.pdf https://doi.org/10.1016/j.kisu.2021.01.007 |
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HAL Sorbonne Université |
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ftsorbonneuniv |
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topic |
chronic kidney disease dialysis end-stage kidney disease kidney failure kidney registries kidney transplantation [SDV]Life Sciences [q-bio] |
spellingShingle |
chronic kidney disease dialysis end-stage kidney disease kidney failure kidney registries kidney transplantation [SDV]Life Sciences [q-bio] Kelly, Dearbhla M. Anders, Hans-Joachim Bello, Aminu K. Choukroun, Gabriel Coppo, Rosanna Dreyer, Gavin Eckardt, Kai-Uwe Johnson, David W. Jha, Vivekanand Harris, David C. H. Levin, Adeera Lunney, Meaghan Luyckx, Valerie Marti, Hans-Peter Messa, Piergiorgio Mueller, Thomas F. Saad, Syed Stengel, Benedicte Vanholder, Raymond C. Weinstein, Talia Khan, Maryam Zaidi, Deenaz Osman, Mohamed A. Ye, Feng Tonelli, Marcello Okpechi, Ikechi G. Rondeau, Eric International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Western Europe |
topic_facet |
chronic kidney disease dialysis end-stage kidney disease kidney failure kidney registries kidney transplantation [SDV]Life Sciences [q-bio] |
description |
International audience Populations in the high-income countries of Western Europe are aging due to increased life expectancy. As the prevalence of diabetes and obesity has increased, so has the burden of kidney failure. To determine the global capacity for kidney replacement therapy and conservative kidney management, the International Society of Nephrology conducted multinational, cross-sectional surveys and published the findings in the International Society of Nephrology Global Kidney Health Atlas. In the second iteration of the International Society of Nephrology Global Kidney Health Atlas, we aimed to describe the availability, accessibility, quality, and affordability of kidney failure care in Western Europe. Among the 29 countries in Western Europe, 21 (72.4%) responded, representing 99% of the region's population. The burden of kidney failure prevalence varied widely, ranging from 760 per million population (pmp) in Iceland to 1612 pmp in Portugal. Coverage of kidney replacement therapy from public funding was nearly universal, with the exceptions of Germany and Liechtenstein where part of the costs was covered by mandatory insurance. Fourteen (67%) of 21 countries charged no fees at the point of care delivery, but in 5 countries (24%), patients do pay some out-of-pocket costs. Long-term dialysis services (both hemodialysis and peritoneal dialysis) were available in all countries in the region, and kidney transplantation services were available in 19 (90%) countries. The incidence of kidney transplantation varied widely between countries from 12 pmp in Luxembourg to 70.45 pmp in Spain. Conservative kidney care was available in 18 (90%) of 21 countries. The median number of nephrologists was 22.9 pmp (range: 9.47-55.75 pmp). These data highlight the uniform capacity of Western Europe to provide kidney failure care, but also the scope for improvement in disease prevention and management, as exemplified by the variability in disease burden and transplantation rates. |
author2 |
University of Oxford Hôpital de Beaumont Dublin, Ireland (HB) Ludwig-Maximilians University Munich (LMU) University of Alberta CHU Amiens-Picardie Mécanismes physiopathologiques et conséquences des calcifications vasculaires - UR UPJV 7517 (MP3CV) Université de Picardie Jules Verne (UPJV)-CHU Amiens-Picardie Regina Margherita University Children's Hospital Turin, Italy Barts Health NHS Trust London, UK Charité - UniversitätsMedizin = Charité - University Hospital Berlin Princess Alexandra Hospital, Brisbane The University of Queensland (UQ All campuses : Brisbane, Dutton Park Gatton, Herston, St Lucia and other locations ) Translational Research Institute Brisbane, Australia (TRI) The George Institute for Global Health India Imperial College London Manipal Academy of Higher Education The University of Sydney University of British Columbia Vancouver University of Calgary Harvard Medical School Boston (HMS) University of Cape Town University of Bergen (UiB) Haukeland University Hospital Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico Università degli Studi di Milano = University of Milan (UNIMI) University hospital of Zurich Zurich Centre de recherche en épidémiologie et santé des populations (CESP) Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay Ghent University Hospital European Kidney Health Alliance (EKHA) Tel Aviv University (TAU) University of Ottawa Ottawa CHU Tenon AP-HP Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU) Sorbonne Université (SU) |
format |
Article in Journal/Newspaper |
author |
Kelly, Dearbhla M. Anders, Hans-Joachim Bello, Aminu K. Choukroun, Gabriel Coppo, Rosanna Dreyer, Gavin Eckardt, Kai-Uwe Johnson, David W. Jha, Vivekanand Harris, David C. H. Levin, Adeera Lunney, Meaghan Luyckx, Valerie Marti, Hans-Peter Messa, Piergiorgio Mueller, Thomas F. Saad, Syed Stengel, Benedicte Vanholder, Raymond C. Weinstein, Talia Khan, Maryam Zaidi, Deenaz Osman, Mohamed A. Ye, Feng Tonelli, Marcello Okpechi, Ikechi G. Rondeau, Eric |
author_facet |
Kelly, Dearbhla M. Anders, Hans-Joachim Bello, Aminu K. Choukroun, Gabriel Coppo, Rosanna Dreyer, Gavin Eckardt, Kai-Uwe Johnson, David W. Jha, Vivekanand Harris, David C. H. Levin, Adeera Lunney, Meaghan Luyckx, Valerie Marti, Hans-Peter Messa, Piergiorgio Mueller, Thomas F. Saad, Syed Stengel, Benedicte Vanholder, Raymond C. Weinstein, Talia Khan, Maryam Zaidi, Deenaz Osman, Mohamed A. Ye, Feng Tonelli, Marcello Okpechi, Ikechi G. Rondeau, Eric |
author_sort |
Kelly, Dearbhla M. |
title |
International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Western Europe |
title_short |
International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Western Europe |
title_full |
International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Western Europe |
title_fullStr |
International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Western Europe |
title_full_unstemmed |
International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Western Europe |
title_sort |
international society of nephrology global kidney health atlas: structures, organization, and services for the management of kidney failure in western europe |
publisher |
HAL CCSD |
publishDate |
2021 |
url |
https://u-picardie.hal.science/hal-03572958 https://u-picardie.hal.science/hal-03572958/document https://u-picardie.hal.science/hal-03572958/file/S2157171621000150.pdf https://doi.org/10.1016/j.kisu.2021.01.007 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
ISSN: 2157-1724 EISSN: 2157-1716 Kidney International Supplements https://u-picardie.hal.science/hal-03572958 Kidney International Supplements, 2021, 11 (2), pp.E106-E118. ⟨10.1016/j.kisu.2021.01.007⟩ |
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info:eu-repo/semantics/altIdentifier/doi/10.1016/j.kisu.2021.01.007 info:eu-repo/semantics/altIdentifier/pmid/33981476 hal-03572958 https://u-picardie.hal.science/hal-03572958 https://u-picardie.hal.science/hal-03572958/document https://u-picardie.hal.science/hal-03572958/file/S2157171621000150.pdf doi:10.1016/j.kisu.2021.01.007 PII: S2157-1716(21)00015-0 PUBMED: 33981476 PUBMEDCENTRAL: PMC8084721 |
op_rights |
http://creativecommons.org/licenses/by-nc/ info:eu-repo/semantics/OpenAccess |
op_doi |
https://doi.org/10.1016/j.kisu.2021.01.007 |
container_title |
Kidney International Supplements |
container_volume |
11 |
container_issue |
2 |
container_start_page |
e106 |
op_container_end_page |
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ftsorbonneuniv:oai:HAL:hal-03572958v1 2024-06-23T07:54:08+00:00 International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Western Europe Kelly, Dearbhla M. Anders, Hans-Joachim Bello, Aminu K. Choukroun, Gabriel Coppo, Rosanna Dreyer, Gavin Eckardt, Kai-Uwe Johnson, David W. Jha, Vivekanand Harris, David C. H. Levin, Adeera Lunney, Meaghan Luyckx, Valerie Marti, Hans-Peter Messa, Piergiorgio Mueller, Thomas F. Saad, Syed Stengel, Benedicte Vanholder, Raymond C. Weinstein, Talia Khan, Maryam Zaidi, Deenaz Osman, Mohamed A. Ye, Feng Tonelli, Marcello Okpechi, Ikechi G. Rondeau, Eric University of Oxford Hôpital de Beaumont Dublin, Ireland (HB) Ludwig-Maximilians University Munich (LMU) University of Alberta CHU Amiens-Picardie Mécanismes physiopathologiques et conséquences des calcifications vasculaires - UR UPJV 7517 (MP3CV) Université de Picardie Jules Verne (UPJV)-CHU Amiens-Picardie Regina Margherita University Children's Hospital Turin, Italy Barts Health NHS Trust London, UK Charité - UniversitätsMedizin = Charité - University Hospital Berlin Princess Alexandra Hospital, Brisbane The University of Queensland (UQ All campuses : Brisbane, Dutton Park Gatton, Herston, St Lucia and other locations ) Translational Research Institute Brisbane, Australia (TRI) The George Institute for Global Health India Imperial College London Manipal Academy of Higher Education The University of Sydney University of British Columbia Vancouver University of Calgary Harvard Medical School Boston (HMS) University of Cape Town University of Bergen (UiB) Haukeland University Hospital Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico Università degli Studi di Milano = University of Milan (UNIMI) University hospital of Zurich Zurich Centre de recherche en épidémiologie et santé des populations (CESP) Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay Ghent University Hospital European Kidney Health Alliance (EKHA) Tel Aviv University (TAU) University of Ottawa Ottawa CHU Tenon AP-HP Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU) Sorbonne Université (SU) 2021 https://u-picardie.hal.science/hal-03572958 https://u-picardie.hal.science/hal-03572958/document https://u-picardie.hal.science/hal-03572958/file/S2157171621000150.pdf https://doi.org/10.1016/j.kisu.2021.01.007 en eng HAL CCSD Nature Publishing Group info:eu-repo/semantics/altIdentifier/doi/10.1016/j.kisu.2021.01.007 info:eu-repo/semantics/altIdentifier/pmid/33981476 hal-03572958 https://u-picardie.hal.science/hal-03572958 https://u-picardie.hal.science/hal-03572958/document https://u-picardie.hal.science/hal-03572958/file/S2157171621000150.pdf doi:10.1016/j.kisu.2021.01.007 PII: S2157-1716(21)00015-0 PUBMED: 33981476 PUBMEDCENTRAL: PMC8084721 http://creativecommons.org/licenses/by-nc/ info:eu-repo/semantics/OpenAccess ISSN: 2157-1724 EISSN: 2157-1716 Kidney International Supplements https://u-picardie.hal.science/hal-03572958 Kidney International Supplements, 2021, 11 (2), pp.E106-E118. ⟨10.1016/j.kisu.2021.01.007⟩ chronic kidney disease dialysis end-stage kidney disease kidney failure kidney registries kidney transplantation [SDV]Life Sciences [q-bio] info:eu-repo/semantics/article Journal articles 2021 ftsorbonneuniv https://doi.org/10.1016/j.kisu.2021.01.007 2024-06-13T23:43:18Z International audience Populations in the high-income countries of Western Europe are aging due to increased life expectancy. As the prevalence of diabetes and obesity has increased, so has the burden of kidney failure. To determine the global capacity for kidney replacement therapy and conservative kidney management, the International Society of Nephrology conducted multinational, cross-sectional surveys and published the findings in the International Society of Nephrology Global Kidney Health Atlas. In the second iteration of the International Society of Nephrology Global Kidney Health Atlas, we aimed to describe the availability, accessibility, quality, and affordability of kidney failure care in Western Europe. Among the 29 countries in Western Europe, 21 (72.4%) responded, representing 99% of the region's population. The burden of kidney failure prevalence varied widely, ranging from 760 per million population (pmp) in Iceland to 1612 pmp in Portugal. Coverage of kidney replacement therapy from public funding was nearly universal, with the exceptions of Germany and Liechtenstein where part of the costs was covered by mandatory insurance. Fourteen (67%) of 21 countries charged no fees at the point of care delivery, but in 5 countries (24%), patients do pay some out-of-pocket costs. Long-term dialysis services (both hemodialysis and peritoneal dialysis) were available in all countries in the region, and kidney transplantation services were available in 19 (90%) countries. The incidence of kidney transplantation varied widely between countries from 12 pmp in Luxembourg to 70.45 pmp in Spain. Conservative kidney care was available in 18 (90%) of 21 countries. The median number of nephrologists was 22.9 pmp (range: 9.47-55.75 pmp). These data highlight the uniform capacity of Western Europe to provide kidney failure care, but also the scope for improvement in disease prevention and management, as exemplified by the variability in disease burden and transplantation rates. Article in Journal/Newspaper Iceland HAL Sorbonne Université Kidney International Supplements 11 2 e106 e118 |